11-15-2009, 12:33 PM
A 36-year-old woman who had recurrent episodes of gallbladder pain during
her pregnancy is now 2 weeks postpartum. She presents to the Emergency
Department with acute abdominal pain radiating to the back, associated with
nausea and vomiting. Her physical examination reveals upper abdominal tenderness
and guarding. Her temperature is 38.8°C, and her pulse is 105/minute. Which one of
the following diagnoses is the most likely?
1) biliary colic
2) acute appendicitis
3) perforated duodenal ulcer
4) acute diverticulitis
5) acute pancreatitis
her pregnancy is now 2 weeks postpartum. She presents to the Emergency
Department with acute abdominal pain radiating to the back, associated with
nausea and vomiting. Her physical examination reveals upper abdominal tenderness
and guarding. Her temperature is 38.8°C, and her pulse is 105/minute. Which one of
the following diagnoses is the most likely?
1) biliary colic
2) acute appendicitis
3) perforated duodenal ulcer
4) acute diverticulitis
5) acute pancreatitis